So, In an effort to "control costs" the hospital has taken DRASTIC and UNSAFE steps to save money. Honest to God ( NO JOKE) a partial list of the new policies are listed below. There are three 20-bed units on my floor (all general Med/Surg) keep that in mind.
- No more morning and evening shift unit secretary. Now secretary will be 12-hour shift from 9am-9pm. No more secretary on each unit. Now the secretary will spend 1 hour on each unit on the floor ("Rotating").
- No more CNA for each unit. Now CNA will rotate between all three units 1 hour on each unit.
- If a patient need to be a sitter, No more floating extra CNAs or calling in Registry CNAs. Now the CNA will be the sitter. If more than 1 patient is needed to be sitter, the sitter patients will be moved together. If patients needing sitter are ISOLATION and other are NON-ISOLATION, the new protocol is to co-hort the non-isolation "healthy" person with the isolation patient and make sure handwashing and infection control measures are followed. If 3 or more patients need to be sitters, the family conference room will be converted as a multi-bed ward for this purpose.
- No more housekeeping on the units. CNA and RN staff will be preforming housekeeping duties in addition to patient care.
- No more individual case managers per unit --- Now 1 case manager per entire floor.
- 1 Team Leader per floor --- no more individual unit team leader per shift.
Welcome to the new world order - Healthcare Nazi-ism! Enslaved and over worked staff ensure that higer ups can recieve their $5,000 bonus this year.
Quote from ~*Stargazer*~
This is part of the problem. When nurses work off the clock like this, it looks on paper like you are capable of handling the workload that is being asked of you.
If just one or a few nurses refuse to do this, then it is easy for them to be singled out as poor time managers.
However, if you create a culture on your unit where your federally mandated rest and meal breaks are taken and nobody stays late to finish charting (or overtime is requested either due to missing breaks or having to stay late to chart), then it will be apparent that it's not just a few "troublemakers" and that the nurses are overworked, and the idea that the nurses can handle an unrealistic workload becomes indefensible.
Agreed- this has to be done across the board, and not just in one facility but all facilites nurses work in. It's not just happening in one facility, on one unit, to one or a few nurses. This is a universal
problem. It's not just a clinical
nursing problem, the original poster mentioned"case managment"
This is common knowledge
for all of us, nurses. it's happening in hospitals, home health and LTC. In every one of these venues the end user
is the patient
I am waiting for the 1 darn good explaination of why health has to pay a multimillion dollar( a
Sultan's" salary)to 1 individual- the CEO at the expense of the patient in these beds, homes, or where ever the patient is; just because, their marketing ability, their(tongue in cheek) "business saavy will not cut it. We are seeing progressively more and more of their dangerous, reckless, unaccoutable, continued cost cutting acts. It's getting worse and worse, it like "how low can you go under the limbo stick before the stick or the system falls down.
It's time nursing grew a pair and stood up as a large group to these CEO's. It's out profession not theirs.
If what the CMS and Joint commission lay down as regulations bother us nurses, it shouldn't. These are regulation agencies- that's their job. Why should
CMS pay for hospital aquired infections because the nurse is to spread thin to closely monitor 7,8,10 acutely(2012 acutely ill patients)ill patients. It's not the CMS' job to keep feeding the fiscal mis manamgent
of our greedy healthcare CZARS. It's not a reflection on the nurse at the point of care, this is a reflection on the fiscial managment of the institution they work for. The beside nurse is just the easiest one to get rid of. They can process variance/risk manage/ insident report all they want- they are still not solving the problem. There will still be another nurse who comes along and does the same thing or a variation of the same thing. Why? Try too much work for 1 person. There is something wrong with the thought process at the top, not at the point of care.- It's called "Greed based care" not "Evidenced based practice"
Last edit by kcmylorn on Nov 25, '12